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3921--, ------------- L.- .. .- , cl�: NOTE;_ With proper'validation this. form constitutes an CITY OF LA QUINTA encroachment permit APPLICATION FOR PERMIT PUBLIC- WORKS CONSTRUCTION (ENCROACHMENT) For the construction of public or private curbs,. driveways, Ipavements:; sidewalks, • parking' -lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit — Class•111- DATE:, May 28s 2003 Minor*Improvement Permit Class .IV X LOCATION'OF CONSTRUCTION Tract 29033-1. Jefferson* N6rth of 50th., southbound lane (Street address, or Description of Location) PURPOSE OF CONSTRUCTION Block wall lane closure Sketch (attach construction plans if appropriate) DESCRIPTION OF CONSTRUCTION Lane closure on ' ,.•� t� <, Jeffexaori S'treet,, southbound cc F1 r F i c okff ILQ, rta L� DIM ENSION,OF•INSTALLATION OR REMOVAL.F� �. gy SIZE -OF EXCAVATION, IF NEEDED ' APPROXIMATE TIME WHEN WORK WILL BEGIN 5/28/03 " :APPROXIMATE TIME -OF COMPLETION 6/7/0 D ESTIMATED CONSTRUCTION COST $ (Including removal of all obstruction; materials, and debris, backfilling, MAY 2 8 2003 com- . paction and placing permanent resurfacing and/or replacing improvements) . CITY OF LA QU1NTA In consideration of, the granting. of this permit, the applicant hereby agrees to:. FINANCE DEPT. Indemnify, de?end and, save the City-, its authorized agents; officers- representatives and employees, harmless from and against any and all penalties, liabilities or loss resulting from claims or court action and 'arising out of any accident, loss or damage to persons or property happening or occurring as a proximate result 'of any work undertaken under the permit granted pursuant to this application. Notify the' Administrative Authority at least,twenty-four (24) hours in advance of the time when work will.be started. Comply with. all. applicable City Ordinances, the terns' and conditions of -the permit and all applicable rules and regulations of the City of La Quinta and to pay for any additional replacementnecessary as the resultof this work. i Signature of Apicant or Agent Trans W6st-Houigiugaa (Bob Turpin) 9966 Htbert . Street; Sara Diego (760)' 801-3623 Name of Applicant•(please print) Business Address Telephone No. Name of Contractor and Job Foreman Business Address Telephone No. Contractor's License No. City Business. License .No. . Applicant's Insurance Company :. Policy. Number FEES: Subdivision'Improvement Permit — Class I.I I Public improvements: 3% of estimated construction costs Private improvements: 3% of estimated construction costs : • iQ Minor Improvement Permit _ Class IV: See attached schedule F)r3. Inspection Fee $ PERMIT VALIDATION. II Permit Fee 100.00 3921 • Penalty Cash Deposit -Surety Bond if required TOTAL. $ 100.Od Receipt No. Received •by Date ` Recorded by PERMIT N0. DATE•APPkO,VED May 28, 2003 EXPIRATIONFDATE May 31, 2004 DATE ISSUED as Administrative Authority Raoul, Mart'' xiez, Assistant 'itgtneer .11' Telephone: (760), 777} 7075 NOTE: Q. With proper validationp4 this form constitutes an CITY OF , LA QUINTA ��,' encroachment permit _ r_ APPLICATION FOR PERMIT PUBLIC . WORKS CONSTRUCTION (ENCROACHMENT)' OF T[�9wS For the construction of public or.. private curbs, driveways,pavements, sidewalks, parking lots, sewers, water mains and other like public works improvements in connection with MINOR IMPROVEMENTS and APPROVED SUBDIVISIONS Subdivision Improvement Permit:-- Class III DATE: `2�03. N -- Minor Improvement Permit Class IV_ LOCATION OF CONSTRUCTION i t ��T' � a/J ��' �� N`a�� ° 6F A-40 5 c1306/*0 1/t o s 3i (Street address of Description of Location)' • C G 6 OG �i t% Sketch (attach' construction plans if appropriate).` PURPOSE OF CONSTRUCTION- .. DESCRIPTIQN OF.C'ONSTRUCTION DIMENSION OF INSTALLATION OR REMOVAL. , SIZE OF EXCAVATION, IF NEEDED APPROXIMATE TIME WHEN WORK WILL BEGIN APPROXIMATE TIME OF COMPLETION % ESTIMATED CONSTRUCTION COST $ (Including removal.of all obstruction, materials, and debris, backfilling, com- paction and placing permanent resurfacing and/or replacing improvements) In consideration of the granting of this.permit, the applicant hereby agrees to: Indemnify, defend'and save the City, its authorized agents, officers, representatives and employees, harmless from and against any and.all penalties, liabilities or loss resulting from 'claims or court action and arising out of any accident, loss or damage to persons, or property happening or occurring as a proximate result of any work undertaken under the permit granted pursuant to' this application. Notify the Administrative Authority at least twenty-four (24) hours in advance of the time when work will be started. Comply with all applicable City Ordinances,' the terms and* conditions of the permit and all applicable rules and regulations of the City of La Quinia and to pay for any additional replacement necessary as the .result of this work. Signature of Applicant or Agent 146) UJ /.v "1 `l G 9-. /�i-/�c��' �5 T S'�'�v �O i & Cro ct* Name of Applicant (please print) Business Address Telephone No_ , Name:of Contractor and.Job.Foreman Business AddressTelephone No.. , Contractor's• License No.. City Business License No. ' Applicant's Insurance Company Policy Number FEES: Subdivision Improvement Permit — Class III ` Public improvements: 3% of'estimated construction costs Private improvements: 3% of estimated construction costs Minor. Improvement Permit Class IV: See attached schedule 4 . Inspection Fee $ PERMIT VALIDATION Permit Fee b• PERMIT N0. Penalty Cash Deposit -Surety Bond = DATE APPROVED if required ; EXPIRATION DATE TOTAL: $ DATE ISSUED Receipt No: ' By Received by Date. . "Administrative Authority ` Recorded by Telephone: (760) 777-7075 R-1 R- NO SCALE 1 W RALPH'S CENTERS i a « Y • "t1-10 100— _ JEFFERSON ST. _IV1 Moor Cl •.�- - • .. - -iaabe� C=f� aavbr'�Qa�3�—c� eo�cpcas=�ca41 QR 7 aC� � 1i C+C C=a=}�W 0CiCA=C7'C =ii f ,I-7 � a+ t aaOCsev r� F e -y i • s MR WT _ � _ _...._ y . i�, , , , to .•� !_� ,• . • ` " { �`GS1C.�C�k '"�` ,' •C7C7AO0� QCYC�a�i=OC�.C7QC7'g:�7 C7�� QQ��:.# h . C=ad�+. -� P C :• _tom ai=�c3c+c+�` o -C;P C-7�oaa r ` s , li' T wwww•www� l p. 500 FT. ` ` 500 FT 00 FT 600 FT a.. -30 LANE NE C-20 (RT) C (RT) Cc�o aO �j, ,YRoaDi1 j- s K. ,p - coxamucno ' ' �aREaD,• �. wcRT�aRE W , • �' �'� \ - ' ' ItlwR Off �CL09ED� - `•„ _ � . � a ° . ' �; � _ •n , NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION (CALTRANS)- - - Date Umit MANUAL OF TRAFFIC CONTROLS FOR CONSTRUCTION AND MAINTENANCE WORK ZONES. - ` . �� etr � . 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND ° 55 �. TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LAQUINTA REPRESENTATIVE. '� ' PmjW Name ak _ _ � Storm Drain and Sidewalk Grading for • 3. THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL'INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN g , ACCORDANCE WITH TRAFFIC CONTROL PLANS. t. PdroeContmMr TrafficDoftlCordratUr 4. CONTRACTOR SHALL MAINTAIN A MINIMUM 12' TRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUT AND THE Transwest Housing Tops N Barricades, Inc. « NEAREST TRAFFIC LANE.. Based an Standard 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED ATALL'TIMES. - (00)852-TOPS Ron Fifield CALTRANS T-11 -6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR OF DEBRIS AND, i. r Date Permit umber 1 of 2 3/19/03 To Be Issued on Approval RETURNED TO NORMAL.. t Z ' y. { - ..' -w � .`+ _ .. - ?.. ,_ .. , .Y .'�. '''Y .. ,� ram. `• ' ij k. r t' . � '.: •'� , F. i '�, .++ , lit NO SCALE . ` R-+ •; ` " 'y . . RALPH'S CENTER' •$` " E7d$iINCI . .r• 41 i :.+ LLJ H - Y1 JEFFERSON S k vvgo � � ea�Io�vvC=cta v v' ooC==C=5�ce=vv'e v+�000vvcir r3o� t •, GG=C= O9 G= C� vC7C;a�OVC,� C C7RC? .o4� 1QA Car= C=OO�vC=pCa=D C=C= C= C=C=P c o• ,• i;• : tapb'+al o aroma v o��e�oatsvro,a�r.�oao�orcv+v�o;s oe�eav vv r.o C2 vv "vim vv4v �vv � So�e�. ���� Qvv av 9= C=cmC= - �` !� G? 500 FT t 'S00 FT 1200 FT 500 FT (� �;.o 500 FT., , ' • ;� -30 • C-18 • 1 i C-20 (RT) i'. ! i /LANE'C 11l2 ' \ • C-20 (RT) cLoseo J a ROAD 1 9 Z v ; + •`K' - CONaTRUCTIO ��- /RIGHT LANE •1 Q _ - _ + W AHEAD i» - AEU ti - • c /WGNT LANF'- -- r • , ` - - > - � �TRWIC s - ,r a - :AHEAD .r + .. DELAY AHUD NOTES: 1. ALL TRAFFIC CONTROL DEVICES FOR THIS PROJECT SHALL BE IN ACCORDANCE WITH THE STATE OF CALIFORNIA DEPARTMENT OF TRANSPORTATION (CALTRANS) ` • MANUAL OF TRAFFIC CONTROLS FOR CONSTRUCTION AND MAINTENANCE WORK ZONES : , - s Mpg By • , ° s UmR . t• 2. TRAFFIC CONTROL SHOWN HEREIN IS THE MINIMUM REQUIRED. ADDITIONAL TRAFFIC CONTROL MAY BE REQUIRED TO FACILITATE PUBLIC SAFETY AND 55 ' TRAFFIC FLOW IF DEEMED NECESSARY BY CITY OF LAQUINTA REPRESENTATIVE. . ' = ' : - 3. -THROUGHOUT EACH WORK PERIOD, CONTRACTOR SHALL INSPECT TRAFFIC CONTROL (SIGNS, BARRICADES AND DELINEATORS) AND MAINTAIN SAME IN Installing,Gas Line for New Homes. , " ACCORDANCE WITH TRAFFIC CONTROL PLANS. N=ContrecW TmftcCoftlCwftcror 4. CONTRACTOR SHALL MAINTAIN A MINIMUM ITTRAFFIC LANE WIDTH AT ALL TIMES. THERE SHALL BE A MINIMUM 2' BETWEEN THE EDGE OF CUTAND THE r Transwest Housing Tops N Barricades, Inc. - Y -NEAREST TRAFFIC LANE. • ; :' �' Phons PmperedBy DesedonSWWaiG , L'I top q T . 5. ACCESS TO PRIVATE PROPERTY SHALL BE MAINTAINED AT ALL TIMES. ' - - (800)852-70PS; Ron Fifield CALTRANS T-10 e„�~L ' `• 6. THIS TRAFFIC CONTROL SHALL BE IN PLACE DURING WORK HOURS ONLY. AT END OF THE WORK HOURS, THE ROAD SHALL BE CLEAR.OF DEBRIS AND, u r DOPerms mter RETURNED TO NORMAL.. " ti t 2 of 2 ` : 3/19/ _,v :To Be Issued on Approval